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[Diagnosis] Failed the Titration test last night
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Peter_C Offline

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Posts: 1,308
Joined: Sep 2013

Machine: System One DS960HS
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro "MED"
Humidifier: Attached
CPAP Pressure: Auto mode-script is:15/3/3
CPAP Software: EncoreBasic Other Software

Other Comments: Severe obstructive sleep apnea 1999/Just got an ASV machine

Sex: Male
Location: Akron, Ohio USA

Post: #11
RE: Failed the Titration test last night
Sending you a PM...

*I* am not a DOCTOR or any type of Health Care Professional. My thoughts/suggestions/ideas are strictly only my opinions.

"Only two defining forces have ever offered to die for you. Jesus Christ and the American Soldier. One died for your Soul, the other for your Freedom."
01-17-2014 04:11 PM
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broskyf Offline

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Posts: 12
Joined: Jan 2014

Machine: None
Mask Type: Not using mask
Mask Make & Model: None
Humidifier: None
CPAP Pressure: None
CPAP Software: Not using software

Other Comments: Transplant from PA. My name is Frank

Sex: Male
Location: South Carolina

Post: #12
RE: Failed the Titration test last night
Wow. Lots of ideas and dos and don'ts. It seems the hardest part of adjusting to this whole thing is getting thru the Titration test. All those wires, strange environment and anxiety make for a long night. I am VERY motivated to make this work and you all have me motivated. THANKS ...and I mean a BIG THANKS. I don't feel alone on here and I am so glad to have found this site.
01-17-2014 05:58 PM
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Nozzelnut Offline

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Posts: 29
Joined: Oct 2013

Machine: RESmed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: Quattro Air
Humidifier: H5i
CPAP Pressure: 8-14 Auto
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Western NY

Post: #13
RE: Failed the Titration test last night
The first night sleep study was enough for me to know that I would need some medicinal help for the titration study. I just couldn't do another night in the lab. It was that bad the first time. A couple others have posted about doing a home titration. That's what I ended up doing and it worked out well for me. I still needed a couple nights on generic ambien to break the insomnia cycle and be able to get through the mask feel, but now it's going as well as it can.

Lots of great folks on here and they'll help any way they can.

Good luck on your journey.
(This post was last modified: 01-17-2014 06:22 PM by Nozzelnut.)
01-17-2014 06:21 PM
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me50 Offline

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Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #14
RE: Failed the Titration test last night
(01-17-2014 05:58 PM)broskyf Wrote:  Wow. Lots of ideas and dos and don'ts. It seems the hardest part of adjusting to this whole thing is getting thru the Titration test. All those wires, strange environment and anxiety make for a long night. I am VERY motivated to make this work and you all have me motivated. THANKS ...and I mean a BIG THANKS. I don't feel alone on here and I am so glad to have found this site.

it will be hard to feel alone b/c we won't leave you alone lol

since you are anxious about your titration, when you look at masks to adjust to before your titration, look seriously at nasal masks and nasal pillows.

my sleep lab where I had my last sleep study brought me 11 masks to look at and gave me a chin strap since I chose the wisp and am a mouth breather. I had a few weeks to adjust to it before my last sleep study. IMHO, they went above and beyond what I have experienced in my other sleep studies (I have had 4 now but one was a long time ago and it was not a good experience and I never used the machine I was given). A recent sleep study I had just before my last one, I was thirsty and I had my water with me and the tech didn't even want me to sit up and get a drink. She went and got a straw and expected me to drink water laying down which I refused to do. My last one restored my faith. This DME is not all about money as they are out of network with my insurance company but are only going to charge me the in network %. They have scored really high from the first time I had any dealings with them and it has remained that way all the way through getting my new machine. I am looking forward to going to sleep at night now with my new machine and a mask that is working well for me. A good tech, DME and RT makes a big difference to us and makes this hosehead experience much better. I am now very fortunate to have such a good DME.
(This post was last modified: 01-17-2014 08:30 PM by me50.)
01-17-2014 08:28 PM
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DeepBreathing Offline
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Posts: 2,292
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #15
RE: Failed the Titration test last night
Frank, I really hate the word "failed" in this context. So you went in for the test, highly motivated but understandably anxious. You had an ear infection and stuffed sinuses. You overcame your anxiety and gave it your best shot, but the system wasn't able to adapt to your circumstances. If anybody failed it was the sleep lab who weren't fully equipped to deal with your situation. But really - nobody failed. It was just an unfortunate set of circumstances.

A very big part of PAP therapy is getting the mask that's right for you. There are dozens of makes, models and sizes out there, and most people go through several until they get the right one. I'm on mask number 5 and considering changing it. It's great that you've got the opportunity to try out some masks before your next study. Don't be afraid to try different ones until you get one that's right for you. Wear your mask while reading or watching TV so you get accustomed to it and the claustrophobia will go away.

Don't worry if you feel you have to take it off - everybody goes through that phase. I've been at this since August, and most nights I pull the mask off. She Who Must be Obeyed has become very adept at noticing if I'm not wearing it and gives me a nudge. (She says I snore, but I've never heard myself snore so that can't be the case Smile ) The main thing is as soon as you're aware it's off - PUT IT BACK ON. It's like falling off a horse - just get right back on. Eventually it will come good.

Now that you've been through the process you'll know what to expect next time. Your anxiety levels will be way down, your infection will be cleared up, and you'll have a mask that you're comfortable with. Apart from that, you've quit smoking, reduced your alcohol and taken up exercise - you've already achieved a huge amount. Everything points to success.

DeepBreathing
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01-17-2014 09:15 PM
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trish6hundred Offline

Advisory Members

Posts: 6,430
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #16
RE: Failed the Titration test last night
Hi broskyf,
What DeepBreathing said.
Better luck next time and don't beat yourself up so much about this, just keep on trying..

trish6hundred
01-17-2014 09:42 PM
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Peter_C Offline

Advisory Members

Posts: 1,308
Joined: Sep 2013

Machine: System One DS960HS
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro "MED"
Humidifier: Attached
CPAP Pressure: Auto mode-script is:15/3/3
CPAP Software: EncoreBasic Other Software

Other Comments: Severe obstructive sleep apnea 1999/Just got an ASV machine

Sex: Male
Location: Akron, Ohio USA

Post: #17
RE: Failed the Titration test last night
(01-17-2014 09:15 PM)DeepBreathing Wrote:  Frank, I really hate the word "failed" in this context. So you went in for the test, highly motivated but understandably anxious. You had an ear infection and stuffed sinuses. You overcame your anxiety and gave it your best shot, but the system wasn't able to adapt to your circumstances. If anybody failed it was the sleep lab who weren't fully equipped to deal with your situation. But really - nobody failed. It was just an unfortunate set of circumstances.

A very big part of PAP therapy is getting the mask that's right for you. There are dozens of makes, models and sizes out there, and most people go through several until they get the right one. I'm on mask number 5 and considering changing it. It's great that you've got the opportunity to try out some masks before your next study. Don't be afraid to try different ones until you get one that's right for you. Wear your mask while reading or watching TV so you get accustomed to it and the claustrophobia will go away.

Don't worry if you feel you have to take it off - everybody goes through that phase. I've been at this since August, and most nights I pull the mask off. She Who Must be Obeyed has become very adept at noticing if I'm not wearing it and gives me a nudge. (She says I snore, but I've never heard myself snore so that can't be the case Smile ) The main thing is as soon as you're aware it's off - PUT IT BACK ON. It's like falling off a horse - just get right back on. Eventually it will come good.

Now that you've been through the process you'll know what to expect next time. Your anxiety levels will be way down, your infection will be cleared up, and you'll have a mask that you're comfortable with. Apart from that, you've quit smoking, reduced your alcohol and taken up exercise - you've already achieved a huge amount. Everything points to success.

(INSERT LIKE BUTTON HERE)

*I* am not a DOCTOR or any type of Health Care Professional. My thoughts/suggestions/ideas are strictly only my opinions.

"Only two defining forces have ever offered to die for you. Jesus Christ and the American Soldier. One died for your Soul, the other for your Freedom."
01-18-2014 01:19 AM
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ImaSurvivor Offline

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Posts: 322
Joined: Nov 2013

Machine: ResMed S9 Auto
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: H5i Heated Humidifier, ClimateLine Tubing
CPAP Pressure: 10
CPAP Software: SleepyHead

Other Comments: Moderate Sleep Apnea, Began using CPAP 11/27/2013

Sex: Female
Location: New York State

Post: #18
RE: Failed the Titration test last night
^^ AGREE ^^
01-18-2014 03:35 PM
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me50 Offline

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Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #19
RE: Failed the Titration test last night
IMHO, failure is when a person knows they have OSA and refuses to use the CPAP machine. As long as one tries, as Frank has been, that is not failing.
01-18-2014 04:01 PM
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